Individual
JOHN ROBERT GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4421 VIRGINIA BEACH BLVD, #112, VIRGINIA BEACH, VA 23462
(757) 963-1488
Mailing address
4 GATESHEAD DR, FLEMINGTON, NJ 08822
(908) 442-0912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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